A large community primary care clinic effectively implemented a stepped-care protocol for pediatric patients with externalizing behaviors including brief parent management training (PMT) in-the-exam room, full application of PMT, and training for physicians on trauma-informed interaction and PMT skills to use with pediatric patients. We aim to share the lessons learned from analysis of three years of data about predictors of primary care PMT dropout, learning outcomes of physicians training in the PMT skills, and the feasibility of implementation of this comprehensive program
Becky Scott, Clinical Associate Professor, Baylor University Becky Scott Ph.D.
Natalie Fjellanger, Integrated Health Manager Lead, Waco Family Medicine Natalie Fjellanger MSW
Scott, B., Kelley, L., Schilling, S. (2024)Skills Training for Family Medicine Residents to Attenuate the Impact of Childhood Trauma: A Pilot Study, Family Medicine, 56 (3). 180-184. DOI: 10.22454/FamMed.2024.245065
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Schilling, S., French, B., Berkowitz, S. J., Dougherty, S. L., Scribano, P. V., & Wood, J. N. (2017). Child–Adult Relationship Enhancement in Primary Care (PriCARE): A Randomized Trial of a Parent Training for Child Behavior Problems. Academic Pediatrics, 17(1), 53–60. https://doi.org/10.1016/j.acap.2016.06.009
Scott, B., Gurwitch, R. H., Messer, E. P., Kelley, L. P., Myers, D. R., & Young, J. K. (2021). Integrated CARE: Adaptation of Child-Adult Relationship Enhancement (CARE) Model for Use in Integrated Behavioral Pediatric Care. Clinical Pediatrics, 60(2), 100–108. https://doi.org/10.1177/0009922820959938